[0001] The present invention generally relates to a novel pharmaceutical formulation for
retinoids in the form of a soft gelatin capsule.
[0002] Retinoids are a class of compounds structurally related to vitamin A, comprising
natural and synthetic compounds, which have been found to be clinically useful in
dermatological, oncological and immunological diseases.
[0003] The activity of retinoids is thought to be mediated by the nuclear retinoid receptors
as for example the known retinoid receptors RARα, β, and γ or RXRα, β, and γ. The
activity of the retinoids may be an agonistic or antagonistic activity. Retinoids
with receptor agonistic activity bind and activate receptors, whereas retinoids with
receptor antagonistic activity bind receptors but do not activate them.
[0004] Specific examples for retinoids, which have been found to be clinically useful, are
for example all-trans retinoic acid which is known to be effective in the treatment
of acne, 13-cis retinoic acid which can be used in severe cases of acne (see Rompps
Chemie Lexikon, 1987) or 9-cis retinoic acid, 9-cis retinal and 9-cis retinol as well
as derivatives thereof, which are said to be clinically efficacious in the treatment
of T-helper cell type 1 mediated immune diseases (WO 99/09969).
[0005] The retinoids or pharmaceutically acceptable derivatives thereof can generally be
administered either topically or systemically.
[0006] Oral pharmaceutical preparations of retinoids are known for example from EP-A-0 552
624 A1, WO 00/25772 and WO 99/24024, describing tablets, sachets, aerosols for inhalation,
soft and hard gelatin capsules.
[0007] A preferred oral dosage form is a soft gelatin capsule, as this material is easily
dissolved in the digestive tract. An overview on soft gelatin capsules is for example
given in Soft Gelatin Capsules Development, Tabibi, S.E. and Gupta, S.L., Editor:
Liu, Rong, Water-Insoluble Drug Formation (2000), pp. 609-633, Interpharm Press, Buffalo
Grove, 111., USA. Moreover, in general, these preparations are favoured as they disguise
the unpleasant taste and obnoxious odours that may be associated with the active pharmaceutical
ingredient itself. They may also protect the active ingredient from oxygen and light
induced degradation.
[0008] EP-A-0 552 624 A1, for example, discloses a soft gelatin capsule with a fill mass
formulation consisting of 5 - 50 mg 9-cis retinoic acid, 1-3 parts of oil, and 1-5
parts of a wax mixture.
[0009] Furthermore, WO 99/24024 discloses a specific retinoid-containing soft gelatin capsule
preparation containing 20 mg of active retinoid compound, with 0.028 mg DL-α-tocopherol,
4.2 mg hydrogenated castor oil, 56.00 mg caprylic/capric/stearic triglycerides, and
199.772 mg medium chain triglycerides.
[0010] However, a crucial disadvantage of this formulation is that it exhibits very slow
dissolution rates due to the formation of pellicles after long-term storage at temperatures
above 5°C. This phenomenon increases with higher storage temperatures of the pharmaceutical
preparation. Furthermore, in aqueous media, a non-dispersible fill mass and in some
cases the formation of needles is observed.
[0011] Based on this state of the art, it is the object of the present invention to provide
an improved retinoid-containing pharmaceutical soft gelatin capsule formulation having
significantly improved dissolution properties and/or showing no tendency for pellicle
formation and/or the formation of a non-dispersible fill mass or needles.
[0012] According to the present invention, there is provided a novel pharmaceutical formulation
according to claim 1, which comprises a soft gelatin capsule filled with a fill mass
comprising a retinoid as an active ingredient, a natural vegetable oil, a partially
hydrogenated natural vegetable oil and medium chain triglycerides.
[0013] This novel formulation shows an excellent dissolution profile and neither pellicle
formation nor a non-dispersible fill mass or needles as observed in the previously
used formulation described on page 19, lines 14 ff. of WO 99/24024 mentioned above.
[0014] In a preferred embodiment of the present invention, the fill mass in addition comprises
a natural wax, especially preferred yellow wax, to enhance the viscosity thereof and
in order to prevent the suspended drug from sedimentation within the capsule.
[0015] Further preferred, the fill mass may also contain an antioxidant to avoid oxidation
of the active compound on the one hand as well as of the natural oils on the other
hand, and thus to increase the stability of the formulation.
[0016] The natural vegetable oil usable for the new formulation is preferably selected from
soybean oil, corn oil, sunflower oil, rape seed oil, linseed oil, sesame oil, olive
oil, coconut oil, peanut oil, safflower oil, castor oil and cottonseed oil or mixtures
of two or more of these oils. Soybean oil is especially preferred as it is well tolerated
and widely accepted.
[0017] The partially hydrogenated natural vegetable oils may also be selected from the oils
mentioned above.
[0018] The medium chain triglycerides are normally selected from triglycerides of saturated
fatty acids containing 8 to 10 carbon atoms, in particular from triglycerides of caprylic
acid and/or capric acid.
[0019] The antioxidant is preferably selected from DL-α-tocopherol, butylhydroxy toluene
(BHT) and butylhydroxy anisole (BHA).
[0020] The shell of the soft gelatin capsule normally comprises gelatin, one or more plasticizers
and water.
[0021] The plasticizers are preferably selected from the group consisting of glycerol, sorbitol,
propylene glycol, and mixtures of these components. More preferably, the plasticizers
comprise a mixture of glycerol and sorbitol. The plasticizers are important to provide
elasticity to the soft gelatin capsules.
[0022] The gelatin used in the soft capsule shell preferably is pig gelatin which is in
particular derived from pig skin.
[0023] According to the present invention it was found that there is an unexpected synergistic
effect with regard to the dissolution characteristics of the pharmaceutical formulation
when pig gelatin in the capsule shell is used in combination with the new fill mass
formulation. This effect was not observed when a combination of bovine gelatin with
the new fill mass or pig gelatin with the previously used fill mass of WO 99/24024
was used. However, also the new fill mass combined with bovine gelatin was superior
compared to the combination of bovine gelatin with the old fill mass.
[0024] In addition, the use of pig gelatin in this formulation also has the advantage that
it avoids regulatory issues associated with the use of bovine gelatin, namely the
occurrence of Bovine Transmissible Spongiform Encephalopathies.
[0025] The retinoid contained as active ingredient in the pharmaceutical formulation can
be selected from the group consisting of retinol, retinal, retinoic acid and derivatives
thereof. Specific examples are all-trans retinol, all-trans retinoic acid, 13-cis
retinoic acid and 9-cis retinoic acid. The retinoids may also be present in the form
of pharmaceutically acceptable derivatives like salts, esters or prodrugs.
[0026] The fill mass contained in the soft gelatin capsule preferably comprises about 50
to 80 percent by weight, in particular about 60 to 70 percent by weight, especially
preferred about 62 to 64 percent by weight, of the natural vegetable oil, about 15
to 35 percent by weight, in particular about 20 to 30 percent by weight, especially
preferred about 24 to 25 percent by weight, of the hydrogenated natural vegetable
oil, and about 3 to 20 percent by weight, in particular about 6 to 12 percent by weight,
especially preferred about 8 to 9 percent by weight, of the medium chain triglycerides.
[0027] In cases where the fill mass also comprises a natural wax, the fill mass preferably
comprises about 1 to 10 percent by weight, in particular about 3 to 6 percent by weight,
especially preferred about 4 percent by weight, of the natural wax, most preferred
yellow wax.
[0028] Due to the above mentioned synergistic effect between fill mass and capsule shell
regarding the in-vitro dissolution characteristics, a particularly preferred pharmaceutical
formulation according to the present invention is a formulation comprising a soft
gelatin capsule shell containing pig gelatin, glycerol, sorbitol, and water, and a
fill mass containing a retinoid, in particular 9-cis retinoic acid, as the active
ingredient, soybean oil, hydrogenated soybean oil, medium chain triglycerides, yellow
wax, and DL-α-tocopherol.
[0029] Other pharmaceutically acceptable additives like colorants, flavoring agents, stabilizers,
emulsifying agents and so on may also be added, if desired.
[0030] The invention will now be described in greater detail by reference to the following
non-limiting examples.
Examples
[0031] Soft gelatin capsules according to the prior art and according to the present invention
were produced in line with a standard manufacturing process schematically described
below in compliance to cGMP requirements. Each manufacturing step (as appropriate)
was performed under yellow light and inert atmosphere (nitrogen).
[0032] For manufacturing the fill mass, the triglyceride and oil components of the fill
mass are weighed into a suitable stainless steel vessel, heated to a maximum of 70°C,
and cooled to room temperature at constant stirring. If applicable, an antioxidant,
e.g. DL-α-tocopherol, is added to the resulting mixture which is then stirred at room
temperature for about 30 minutes.
[0033] Subsequently, a retinoid, e.g. 9-cis retinoic acid, is added to the above blend and
stirred until a homogenous suspension is obtained. The suspension is stored in a stainless
steel vessel under inert gas at reduced pressure, tightly sealed and protected from
light until encapsulation.
[0034] The encapsulation of the homogenous suspension into the gelatin shell is then carried
out on a rotary-dye machine as it is well known in the prior art (see for example
Bauer, K.H. et al., Lehrbuch der Pharmazeutischen Technologie, 6
th ed., pp. 343-348, Stuttgart, 1999)
Comparative Example 1 (Batch A)
[0035] A soft gelatin capsule formulation according to the prior art as described in WO
99/24024 was prepared as outlined above, using the following components for the fill
mass and the capsule shell:
| Old fill mass: |
| Compound |
mg/capsule |
| Alitretinoin (9-cis retinoic acid) |
20.00 |
| DL-α-Tocopherol |
0.028 |
| Hydrogenated castor oil |
4.200 |
| Medium chain triglycerides (Miglyol® 812, MCT) |
199.772 |
| Caprylic/capric/stearic triglyceride (Softisan® 378, synthetic triglycerides) |
56.00 |
[0036] Miglyol® 812 and Softisan® 378 were obtained from Sasol, Witten, Germany. DL-α-Tocopherol
was from Roche Vitamins, Sisseln, Switzerland. Hydrogenated castor oil and alitretinoin
were provided by Hoffmann La-Roche, Basel, Switzerland.
| Capsule Shell: |
| Compound |
mg/capsule |
| Bovine Gelatin |
80.85 |
| Glycerol (98-101%) |
24.53 |
| Sorbitol, liquid, non-crystallizing |
15.09* |
| Water, purified |
13.33** |
| Iron oxide, red (E 172) |
0.595 |
| Iron oxide, yellow (E 172) |
0.595 |
| (* calculated as dry matter, |
| ** calculated amount in shell after drying) |
[0037] In the Examples and Comparative Examples, all gelatins were obtained from DGF Stoess,
Eberbach, Germany, glycerol was from Uniquema, Emmerich, Germany, Sorbitol, liquid,
non-crystallizing, was from Merck, Darmstadt, Germany, iron oxide red and yellow were
obtained from BASF, Ludwigshafen, Germany, yellow wax was from Kahl, Trittau, Germany,
soybean oil as well as partially hydrogenated soybean oil were from Florin, Muttenz,
CH.
[0038] Dissolution tests were carried out with the prior art formulation of Comparative
Example 1. It was found that the mixture Miglyol® 812/Softisan® 378/hydrogenated castor
oil exhibited problems in dissolution testing due to the formation of pellicles after
storage at elevated temperatures. Already after 1 week at 40°C, the fill mass was
covered in the dissolution test by a visible film. In addition, lumps of a non-dispersible
fill mass were observed.
[0039] A dissolution curve of a soft gelatin capsule according to Comparative Example 1
(Batch A) is shown in Fig. 1. Even at optimised dissolution test conditions, the profile
flattens out at higher temperatures, most likely due to the above mentioned effects.
The dissolution rates for samples stored at 40°C already after 1 month rarely exceeded
20% (data not shown).
Example 2 (Batch D)
[0040] A soft gelatin capsule formulation according to the present invention was prepared
by the above described process, using the following components:
[0041] New fill mass according to the present invention:
| Compound |
mg/capsule |
| Alitretinoin (9-cis retinoic acid) |
20 |
| Soybean oil |
162.00 |
| Partially hydrogenated soybean oil |
65.00 |
| Medium chain triglycerides (Migyol® 812) |
23.00 |
| Yellow wax |
10.00 |
| DL-α-tocopherol |
0.028 |
| Capsule shell: |
| Compound |
mg/capsule |
| Pig gelatin |
82.0 |
| Sorbitol, liquid, non-crystallizing |
22.3* |
| Glycerol (98-101%) |
16.5 |
| Water, purified |
13.6** |
| Iron oxide, red (E 172) |
0.60 |
| Iron oxide, yellow (E 172) |
0.60 |
| (* calculated as dry matter, |
| ** calculated amount in shell after drying) |
Example 3 (Batch C)
[0042] A further soft gelatin capsule formulation according to the present invention was
prepared as in Example 2. However, while the fill mass was identical to the fill mass
of Example 2, the capsule shell contained bovine gelatin instead of pig gelatin, and
its composition was as follows:
| Capsule shell: |
| Compound |
mg/capsule |
| Bovine gelatin |
82.0 |
| Sorbitol, liquid, non-crystallizing |
15.3* |
| Glycerol (98-101%) |
26.4 |
| Water, purified |
14.6** |
| Iron oxide, red (E 172) |
0.60 |
| Iron oxide, yellow (E 172) |
0.60 |
| (* calculated as dry matter, |
| ** calculated amount in shell after drying) |
Example 4 (Batch E)
[0043] A further soft gelatin capsule formulation according to the present invention was
prepared using the fill mass of Example 2, except that only 5 mg alitretinoin were
present and 15 mg additional soybean oil were added instead, and the following composition
for the capsule shell:
| Capsule shell: |
| Compound |
mg/capsule |
| Pig gelatin |
82.0 |
| Sorbitol, liquid, non-crystallizing |
16.5* |
| Glycerol (98-101%) |
22.3 |
| Water, purified |
13.6** |
| (* calculated as dry matter, |
| ** calculated amount in shell after drying) |
[0044] The formulations according to Examples 2 to 4 were found to be sufficiently stable
for at least 12 months at temperatures up to 30°C.
Comparative Example 5 (Batch B)
[0045] A further soft gelatin capsule formulation based on the old fill mass formulation
of Comparative Example 1 was prepared using the capsule shell composition of Example
2.
[0046] Dissolution tests with the formulations of Examples 2 to 4 (Batches D, C and E) and
Comparative Example 5 (Batch B) were carried out for samples stored at 40°C / 75 %
relative humidity (r.h.) to speed up the detection of possible differences in the
dissolution profiles of the variants. The dissolution curves of the formulations of
Examples 2 to 4 are shown in Fig. 2, and the dissolution curve of Comparative Example
5 is shown in Fig. 3.
[0047] Whereas the dissolution curve of Comparative Example 5 using the old fill mass exhibited
the same poor dissolution behaviour as Comparative Example 1, the dissolution curves
of Examples 2 to 4 showed significantly improved dissolution profiles. The new formulations
according to the present invention released the drug almost completely in a short
time in the same dissolution test set-up. These results could be reproduced even after
12 months storage under the same accelerated storage conditions.
[0048] Finally, the chemical stability of the active ingredient suspended in the fill mass
formulation of Comparative Example 1 as well as the one of Example 2 were tested during
a storage period of 6 months, and the amount of degradation products (including degradation
products like 13-cis retinoic acid and all-trans retinoic acid as well as unspecified
degradation products) was determined. The comparative results of the stability test
are shown in the following table.
| Storage Conditions 6 months, 40°C / 75% r.h. |
| |
Fill mass from Comparative Example 1 |
Fill mass from Example 2 |
| Total amount of degradation products |
1.49 % |
0.98 % |
[0049] As may be seen from this table, the total amount of degradation products could be
reduced from 1.49 % for the formulation according to the prior art to 0.98 % for the
formulation according to the present invention.
[0050] In addition, the same stability test as described above was also conducted with fill
mass formulations of Comparative Example 1 and Example 2 containing only 5 mg of the
active ingredient instead of 20 mg, together with 15 mg additional soybean oil (Comparative
Example 1) or 15 mg additional Miglyol® 812 (Example 2). In this case, the total amount
of degradation products could even be reduced from 2.93 % to 1.64 % (corresponding
to a reduction of about 50 %).
[0051] This improved chemical stability is a further benefit of the new formulation according
to the present invention.
1. Pharmaceutical formulation for retinoids comprising a soft gelatin capsule filled
with a fill mass comprising a retinoid as an active ingredient, a natural vegetable
oil, a partially hydrogenated natural vegetable oil and medium chain triglycerides.
2. Pharmaceutical formulation according to claim 1, wherein the fill mass in addition
comprises a natural wax.
3. Pharmaceutical formulation according to claim 1 or 2, wherein the fill mass in addition
comprises an antioxidant.
4. Pharmaceutical formulation according to any one of claims 1 to 3, wherein the natural
vegetable oil is selected from soybean oil, corn oil, sunflower oil, rape seed oil,
linseed oil, sesame oil, olive oil, coconut oil, peanut oil, safflower oil, castor
oil and cottonseed oil or mixtures of two or more of these oils.
5. Pharmaceutical formulation according to any one of claims 1 to 4, wherein the natural
vegetable oil is soybean oil.
6. Pharmaceutical formulation according to any one of claims 1 to 5, wherein the medium
chain triglycerides are selected from triglycerides of saturated fatty acids containing
8 to 10 carbon atoms, in particular from triglycerides of caprylic acid and/or capric
acid.
7. Pharmaceutical formulation according to any one of claims 2 to 6, wherein the natural
wax is yellow wax.
8. Pharmaceutical formulation according to any one of claims 3 to 7, wherein the antioxidant
is selected from DL-α-tocopherol, butylhydroxy toluene (BHT) and butylhydroxy anisole
(BHA).
9. Pharmaceutical formulation according to any one of claims 1 to 8, wherein the capsule
shell comprises gelatin, one or more plasticizers and water.
10. Pharmaceutical formulation according to claim 9, wherein the plasticizer(s) is(are)
selected from the group consisting of glycerol, sorbitol, propylene glycol, and mixtures
of these components.
11. Pharmaceutical formulation according to claim 9 or 10, wherein the plasticizer comprises
a mixture of glycerol and sorbitol.
12. Pharmaceutical formulation according to any one of claims 9 to 11, wherein the gelatin
is pig gelatin, in particular derived from pig skin.
13. Pharmaceutical formulation according to any one of claims 1 to 12, wherein the retinoid
is selected from the group consisting of retinol, retinal, retinoic acid and derivatives
thereof.
14. Pharmaceutical formulation according to any one of claims 1 to 13, wherein the retinoid
is 9-cis retinoic acid.
15. Pharmaceutical formulation according to any one of claims 1 to 14, wherein the fill
mass comprises about 50 to 80 percent by weight, in particular about 60 to 70 percent
by weight, especially preferred about 62 to 64 percent by weight, of the natural vegetable
oil, about 15 to 35 percent by weight, in particular about 20 to 30 percent by weight,
especially preferred about 24 to 25 percent by weight, of the hydrogenated natural
vegetable oil, and about 3 to 20 percent by weight, in particular about 6 to 12 percent
by weight, especially preferred about 8 to 9 percent by weight, of the medium chain
triglycerides.
16. Pharmaceutical formulation according to any one of claims 2 to 15, wherein the fill
mass comprises about 1 to 10 percent by weight, in particular about 3 to 6 percent
by weight, especially preferred about 4 percent by weight, of the natural wax.
17. Pharmaceutical formulation according to claim 15 or 16, wherein the natural vegetable
oil is soybean oil.
18. Pharmaceutical formulation according to claim 16 or 17, wherein the natural wax is
yellow wax.